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TERRA Project Proposal Form

Please use the form below to share a project idea with the TERRA Board. The form may be submitted at any time during the year. The deadline for submitting project ideas for consideration during FY2009 is May 16, 2008.

For more information or assistance with submissions, please contact Stephanie Malinoff at 612-624-8398 or malinoff@cts.umn.edu.

Contact Information of Applicant

All fields are required.

First name:

Last name:

E-mail:

Mailing Address:
Street 1:

Street 2:

City:

State:    Zip:  

Country:

Project Information

Project Name:

Project Partners (if applicable):

Anticipated Project Timeframe:

Project Purpose:

Project Description:

Funding

Total Project Funds Needed:

Secured Funding (please list amount and source):

In-Kind Contributions (please list amount and source):

Project Benefits:

How does the project fit with the TERRA mission?

Are there plans to implement the project? If so, please describe.